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Medication Management
Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.
Members: 215
Contact: Seema Nayani
Type: Open
Access: Public
Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.

Activity

Lindsay Yoo joined a group
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Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.
Bev Knight created a new discussion in Medication Management
Hello Please join us as we introduce you to the Canadian Clinical Drug Data Set. This data set provides a consistent approach to the identification and naming of medications and medical devices (based on existing Health Canada Drug Product Database (DPD) content), and will be freely available for use in digital health solutions such as e-prescribing. As background; Canada Health Infoway and Health Canada have partnered in the development of the Canadian Clinical Drug Data Set. Thanks to the guidance of an Advisory Group made up of Canadian industry experts, and QA assistance from the CPhA , the team is preparing for a beta release in the July time frame. For meeting information please check here - https://infocentral.infoway-inforoute.ca/en/news-events/event-calendar/icalrepeat.detail/2017/05/03/2108/156/introduction-to-the-new-national-drug-terminology Thankyou Beverly Knight
Jessica Ng joined a group
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Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.
Chandra Thomas replied to a discussion in Medication Management
It is very interesting how the incorporation of the provincial drug information into the pharmacy system increases reported use so much (83% vs 12%). Having to open web-browser to view the information seems to be a big barrier.
Chandra Thomas created a new discussion in Medication Management
My name is Chandra. I am a nephrologist in Calgary. I am co-lead of our program's QI committee and medication safety committee and I am the physician lead for medication reconciliation at my hospital. Individuals with advanced kidney disease are at very high risk for medication related problems due to multimorbidity, complicated medication regimens, unique dosing of drugs, the nephrotoxicity of many drugs, multiple care providers and multiple transitions. I have been working with my team to try to improve systems to decrease medication related problems for and their consequences in a resource constrained environment.
Chandra Thomas joined a group
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Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.
Andrea Calvert joined a group
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Discussion of topics such as ePrescribing, Best Possible Medication History and Medication Reconciliation.

Events



Upcoming events:
Wed May 03 @ 1:00PM - 02:00PM
Introduction to the New National Drug Terminology

Forum

May 3rd 1-2pm ET webinar to Introduce the New National Drug Terminology-Canadian Clinical Drug Data Set 04/24/17
Hello Please join us as we introduce you to the Canadian Clinical Drug Data Set. This data set provides a consistent approach to the identification and naming of medications and medical devices (based on existing Health Canada Drug Product Database...
2016 National Survey of Canadian Pharmacists: Use of Digital Health Technologies in Practice 04/21/17
It is very interesting how the incorporation of the provincial drug information into the pharmacy system increases reported use so much (83% vs 12%). Having to open web-browser to view the information seems to be a big barrier.
Introduction 04/21/17
My name is Chandra. I am a nephrologist in Calgary. I am co-lead of our program's QI committee and medication safety committee and I am the physician lead for medication reconciliation at my hospital. Individuals with advanced kidney disease are at v...
Introduction 04/21/17
Hello everyone, My name is Pierre-Olivier Hallé ( you can call me P-O B) ) I'm an hospital pharmacist and one of the pharmacist representative of the RSVP Québec (DSQ). I work at Jonquiere's Hospital in Saguenay-Lac-St-Jean (region 2h north...
Introduction 04/21/17
Hello all! I am Mike Hamilton. I am a community primary care physician as well as Physician Lead with ISMP Canada. I love drugs! In particular, I am fascinated by what I call the "sociology of medications" - what I mean by that is how we use...
Clinical summaries for hospitalised patients: time for higher standards - EHRs fall short when generating patient tools 04/21/17
Thanks Lisa. Health literacy is a favorite topic of mine and I think this editorial (and the references it cites) demonstrates how difficult it is to create understandable material for patients. As health care practitioners, we do not understand...
Members please post your introductions! 04/20/17
Hello Everyone, I've noticed we've had quite a few new members join recently. Welcome! Looking forward to getting to know you better Please reply to this thread with a few words about yourself, and don't forget to post your picture. Also, f...
PrescribeIT resources 04/20/17
Infoway is working with Health Canada, the provinces and territories, and industry stakeholders to create, operate and maintain a financially self-sustaining, multi-jurisdiction e-prescribing service, known as PrescribeITTM. Here is a great site t...
2016 National Survey of Canadian Pharmacists: Use of Digital Health Technologies in Practice 04/20/17
Dear Community Members, Infoway recently commissioned the ...and we invite you to review the results deck, which is now available. The survey reveals that digital tools are improving community pharmacy practice and opportunity exists to advanc...
Clinical summaries for hospitalised patients: time for higher standards - EHRs fall short when generating patient tools 04/20/17
Thanks Lisa for sharing. Could you please cross post this in the Coordination of Care Community? I think the members there would appreciate this info. Finnie
Clinical summaries for hospitalised patients: time for higher standards - EHRs fall short when generating patient tools 04/20/17
This is an editorial by Sunil Kripilani that shares the shortcomings of discharge summaries being produced by EHRs. Essentially, this is a call for action, for clinicians and patients to be directing IT developers on how to incorporate best prac...
Webinar: The Medication Profile: what should it be and how could it work? 04/12/17
Hi Joel, Great timing for your question! The ... is now available. After you've had a chance to review, would be happy to hear your thoughts or if you have any questions for our presenter Julie. Kind regards, Seema
Webinar: The Medication Profile: what should it be and how could it work? 04/12/17
Was this webinar recorded, or are there slides available? I really wanted to attend, but I had a prior engagement I could not cancel. Thank you! JG
Upcoming webinar: What Canadians need to know about their medications 04/12/17
A webinar hosted by Rational Therapeutics and Medication Policy Research Group (RTMP) Poster with details and registration is found: http://www.rationaltherapeutics.ca/symposium-2017 The event will highlight the medication information needs of...
Medication Management resources (includes Medication Reconciliation) 04/12/17
Selkirk Mental Health Centre is currently working with a vendor called BSharp Technologies to develop an electronic MedRec Module which interfaces directly with the Order Entry, eMAR and pharmacy module. Within the eMedRec module, the MedRec on admis...

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Video

5 Questions to Ask About Your Medications

Empower your patients to ask questions to keep them safe from medication harm. Presented by ISMP Canada

12/19/16

Solutions

  • FHIR Terminology Service API
  • HAPI FHIR
  • HAPI v2
  • HL7 Explorer
  • InfoRMS
  • InfoScribe
  • Message Builder
  • Message ReMixer
  • Object Identifiers (OIDs)
  • SNOMED CT Browser
  • Terminology Gateway
  • Terminology Service API
  • TermWorks

FHIR web services used to access terminology data

FHIR Terminology Service APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertize in the fine details of terminology.

terminology gateway APIFHIR Terminology Service API

Open source integration tools useful for health IT integration projects

HAPI FHIR® is a simple-but-powerful library for adding FHIR messaging to applications. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

HAPI FHIR

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External Solutions for API integration

Open source integration tools useful for health IT integration projects.

HAPI v2
 

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform

HAPI FHIR
 

HAPI FHIR is a simple-but-powerful library for adding FHIR messaging to your application. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

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Open source integration tool useful for health IT integration projects

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform.

HAPI v2

Enhanced browsing of HL7 v3

Infoway HL7 Explorer is a powerful browser for HL7 v3 structures, vocabulary and references. Used in conjunction with the pan-Canadian releases, HL7 Explorer makes locating details and information more efficient.

Overview
 

Learn about what HL7 Explorer can do for you with this brief online presentation.

MR 02.06
 

HL7 Explorer applied to the MR 02.06 HL7 v3 maintenance release

CeRx 4.4.2
 

HL7 Explorer applied to the CeRx 4.4.2 HL7 v3 maintenance release

 

 

Standards versions available for viewing in HL7 Explorer

Standard URL 
CA MR 02.06 https://infocentral.infoway-inforoute.ca/extra/ca/mr0206-html/html/search.html
CA MR 02.05.01 https://infocentral.infoway-inforoute.ca/extra/ca/mr020501-html/html/start.html
CA MR 02.05 https://infocentral.infoway-inforoute.ca/extra/ca/mr0205-html/html/start.html
CA MR 02.04.03 https://infocentral.infoway-inforoute.ca/extra/ca/mr020403-html/html/start.html
CA CeRx 4.4.2 https://infocentral.infoway-inforoute.ca/extra/ca/cerx442-html/html/search.html
CA CeRx 4.4.1 https://infocentral.infoway-inforoute.ca/extra/ca/cerx441-html/html/start.html 
CA CeRx 4.4 https://infocentral.infoway-inforoute.ca/extra/ca/cerx44-html/html/start.html
BC V02R04 https://infocentral.infoway-inforoute.ca/extra/bc/v02r04-html/html/start.html
NS CeRx 4.3 https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/start.html
NS R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ns/r020403-html/html/start.html
AB MR2007 https://infocentral.infoway-inforoute.ca/extra/ab/mr2007-html/html/start.html
AB R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ab/r020403-html/html/start.html
AB R02.04.00 SHR https://infocentral.infoway-inforoute.ca/extra/ab/r020400-shr-html/html/start.html
AB R02.04.03 Imm https://infocentral.infoway-inforoute.ca/extra/ab/r020403-imm-html/html/start.html

Request Management Solution

InfoRMS (Infoway Request Management System) is Infoway's Request for Change Tool for SNOMED CT, pCLOCD/LOINC, pan-Canadian Subsets and pan-Canadian HL7 artifacts. Not sure if you have access to InfoRMS? Manage your InfoRMS Access in your user profile.
SNOMED CT
 

Submit or follow requests to SNOMED CT

pCLOCD/LOINC
 

Submit or follow requests to pCLOCD/LOINC

pan-Canadian Subsets
 

Submit or follow requests to pan-Canadian Subsets

HL7
 

Follow requests to pan-Canadian HL7 messaging

 

infoscribeSupporting the Standards Selection Framework, InfoScribe enables teams to collaboratively create, discuss, and publish digital health solutions from clinical requirements to specifications. Featuring templates, versioning, PDF export, inline commenting and HL7 Explorer integration, InfoScribe improves productivity and accelerates the development of healthcare solutions.

Standards Selection Framework

The Standards Selection Framework provides users with the means to plan, choose and document interoperability solutions from concept through to implementation. Starting from the Clinical Requirements identified by clinicians through to business requirements, standards and technical specifications, the framework provides a comprehensive guide through the development of interoperability solutions.

The framework also provides an opportunity for the InfoCentral community to share successful implementation projects, the standards selections made at a point in time of the project and the specifications that result from the selections made. Publishing solutions in this space will help to establish a Canadian repository of references.

clinical requirements

Clinical Requirements describe the information and workflow needs of the clinician for a specific clinical context and clinical data exchange. Using the Clinical Interoperability Principles as a guide, a set of requirements expressed in the clinician’s voice will provide the foundation for a well-designed interoperability solution.

business requirements

Business Requirements are derived from clinical requirements and provide a full picture of the solution that needs to be developed. Use cases, business rules and guidance are used to fully outline the solution design.

standards selection

Standards Selection refers to the process that has been developed to help guide teams through the selection of terminology and messaging standards. Using the line of inquiry and considerations in the forms provided implementation teams may assess the standards available and determine the best option for the point in time. The process also provides an opportunity for the InfoCentral community to share successful implementation projects, promoting standardization through reuse.

standards

Standards are an integral piece of the interoperability solution, covering both the terminology that defines the data sent, and the messaging structures that define how the data is transferred. The framework provides the access and consideration criteria to the international and Canadian standards to facilitate implementation.

specifications

Specifications provide the details for the solution to be implemented. These details include: a review of the data elements used, samples of transferred messages, the system architecture as well as the security specifications including authorization and authentication.

Solution for API integration

Infoway Message Builder allows developers to focus on the business challenges of integrating their solutions with each electronic health record implementation by abstracting the differences between different versions of pan-Canadian HL7 messaging and supporting current implementation constraints. Developers can build interfaces in a familiar development environment, using the programming language of their choice*, while the Message Builder API fosters quick and easy creation, population and access to HL7v3 requests and responses.

Infoway Message Builder v2.0 and later is enhanced to generate JAVA APIs to create, validate, marshal/unmarshal CDA documents.

 Implementation and Exchange

Key features and benefits

Message Builder offers a number of key features and benefits:

  1. Abstracts the complexity of HL7v3 messages and greatly simplifies the work of the developer when implementing them;
  2. Reduces the impact on developers from implementation variations;
  3. Enables companies to achieve Infoway product certification with greater confidence and reduced time;
  4. Enables developers to incorporate future message versions without re-writing their products;
  5. Can be embedded in software applications due to its open source distribution under a commercial-friendly Apache 2.0 license.

Out of the box support

Infoway Message Builder comes with built-in runtime APIs that support a number of pan-Canadian specifications:

  • MR2009 (R02.04.02)
  • MR2007 (V02R02)
  • MR 2007 (V02R01)
  • CeRx (V01R04.3)

In addition, while developers can easily build custom transport mechanisms without affecting the core, Message Builder includes native support for SOAP and RESTful message transports. Developers can configure and extend the transport as desired.

Detailed product features

  • Provides the capability to configure and populate message values that are common to all messages—this allows developers to reuse common message data, shortening the time to configure and create an interoperable system.
  • Uses simplified data types that are natural and familiar to the programming language (e.g. String for ST) rather than directly exposing the sometimes complicated HL7v3 data types—yet still allowing access to HL7v3 data types when necessary.
  • Allows developers to focus on the business-aspect of a request/response, avoiding many of the complexities of HL7v3.
  • Code-generation algorithms merge identical and similar classes together to simplify the generated API—meaning less confusion in the resulting code and an increased ability to write generic handlers for certain types.
  • Converts populated objects into HL7v3 XML requests, and converts HL7v3 responses into populated objects.
  • Provides flexibility in configuring and performing terminology-code lookups, including code set and database-backed lookups (can mix and match).
  • Associations and attributes are strongly typed, given business names when provided, and contain code docs directly from the MIFs (see wiki.hl7.org/index.php?title=MIF).
  • The algorithms inline most classes that only have a small number of properties, further simplifying the API.
  • Offers both permissive and strict modes—permissive allows many common errors and generates appropriate error comments in the XML or result object.
  • A separate validation tool is provided to test ad-hoc messages—this tool reuses the same validation components that are executed during message marshaling and unmarshalling, ensuring consistent processing of the message whether during processing or during conformance validation.

Forward looking

The power of the Message Builder architecture is in its MIF-based generation of the specification API. With Message Builder, any MIF is supported—whether a future release of the pan-Canadian specifications or a modified (constrained) jurisdiction-specific release of an existing specification. 

How it works

Message Builder comprises two parts:

  1. Message Builder Generator—a tool used by Infoway to take input MIFs and create Message Sets for use by Message Builder Runtime;
  2. Message Builder Runtime—an API used by developers to allow their products to support multiple Message Sets without recoding.

Message Builder Generator

Used by Infoway, Message Builder Generator takes MIFs (as the source of truth for standards specifications) and converts them into a series of Java Classes. This is done by first converting the MIFs to an XML Message Set (a simplified representation of the information present in the original MIFs), then generating Java Classes that reference standard Java data types and use business-friendly names. In the process, groups of related elements are flattened and similar message parts are placed into a single class: these steps increase ease of use and reduce the complexity of the resulting Java Classes.

MBG process

Using Message Builder Generator, Infoway is able to create multiple Message Sets, each representing the MIFs used in a single jurisdiction, but all for the same HL7v3 version.

Message Builder Runtime

Message Builder Runtime allows developers to quickly adapt to implementations in multiple Jurisdictions: incoming messages are first examined to determine the corresponding source Message Set, once identified, a series of Java Objects that represent the message are instantiated. Next, the Java Objects are turned into an HL7 message for the HL7 version corresponding to the desired destination Message Set. 

MB process

Using Message Builder Runtime developers can accept messages over the wire and on-the-fly turn them into a different HL7 message version. Given the capability of Message Builder to support future versions of HL7 messages, developers can easily future proof their products with minimal effort.

*Developer friendly

The Message Builder libraries are available for Java and Microsoft .NET. In addition, a simplified XML message format is available with REST-based services for managing mapping to/from the simplified form to the target specification XML format.

CDA Support

Message Builder CDA API supports the following CDA and data type specifications:

Message Builder provides  JAVA and .NET APIs for CDA document creation, validation, marshalling/unmarshalling of the following CDA document types:

  • Continuity of Care Document (CCD) (Release 1.1)
  • Consultation Notes (Release 1.1)
  • Discharge Summary (Release 1.1)
  • Imaging Integration, and DICOM Diagnostic Imaging Reports (DIR) (Release 1)
  • History and Physical (H&P) (Release 1.1)
  • Operative Note (Release 1.1)
  • Progress Note (Release 1.1)
  • Procedure Note (Release 1)
  • Unstructured Documents (Release 1.1)
  • CDA documents using pan Canadian CDA header template

Clinical applications in JAVA or .NET can use the Message Builder CDA APIs to create, validate or parse above listed types of CDA documents. Potential use cases are document source or document consumer actors in IHE XDS profile, content creator/content consumer in any content module/profile, or report creator/viewer in RIS/PACS/EMR systems.

Message Builder is available for Java and .NET

Message Builder for Java

System Requirements

  • Java 1.5 or higher
  • Maven 3.0.3 or higher (can be removed after installing Message Builder if working with a non-Maven project)

Download

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder, you will need

  1. Message Builder Core and
  2. one or more Message Builder API release(s)—depending on your implementation requirements.

Select a Message Builder Version:

 

Select one or more Message Builder API releases:

 

Optional Message Builder components:

Terminology Database Resolver
Message Builder Example

Message Builder pom.xml file:

 

Message Builder for .NET

System Requirements

  • .Net Framework 3.5 or higher

Download

Message Builder v2.1 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder:

  1. Download Message Builder .NET Core 2.1.0 setup
  2. Unzip and pull out the dll files that you need:
     \ → root location of required Message Builder core assemblies (Mandatory - required all)
     \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
  3. Copy them to your .NET project 
  4. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Message Builder v1.5.8.1 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder:

  1. Download Message Builder .NET Core 1.5.8.1 setup
  2. Unzip and pull out the dll files that you need:
     \ → root location of required Message Builder core assemblies (Mandatory - required all)
     \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
  3. Copy them to your .NET project 
  4. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Message Builder v1.4.6 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder, you will need

  1. Download Message Builder .NET Core 1.4.6 setup
  2. Unzip and run SetupCore.msi file
  3. Choose a installation location <install dir>.  The setup execution should place the following directories in <install dir>:
     \lib\ → location of required Message Builder core assemblies (Mandatory - required all)
      \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
     \src\ → location of all source code and project files required to load them into visual studios
     \debug\ → location of debug symbol files
  4. Pull out files the dll files from the \lib\ and \releases\ folders, and copy them to your .NET project 
  5. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Localization of pan-Canadian Standards

Infoway Message ReMixer is a web-based application that allows for the localization of pan-Canadian Standards (pCS) messages to meet jurisdictional requirements, all while maintaining the integrity of the original, standard message.

msg remixerAccess Message ReMixer Now

 Implementation and Exchange

Jurisdictional ReMixes

Pan-Canadian Standards use Object Identifiers (OIDs) to distinguish between objects by assigning a numeric string that enables other systems to understand the unique information that is being shared between various systems.

  • OIDs are intended to be globally unique and never re-used
  • OIDs in the pan-Canadian standards identify terminology code systems and are transmitted in HL7 messages
  • OIDS used to identify terminology subsets are not transmitted in HL7 messages, rather these OIDs are used for vocabulary maintenance and Terminology Services
  • OIDs are used to qualify local identifiers (e.g. patient identifiers) such that the combination of an OID (assigning authority) and a local identifier remains globally unique

Browse International and Canadian Content

SNOMED International's SNOMED CT browser allows users to browse and search the SNOMED CT International Edition to explore concepts and relationships. It also provides access to browse national extensions from SNOMED International member countries including the Canadian Edition of SNOMED CT in English and French.

snomed browser Browse SNOMED CT Now

 General Documentation

Browse, download and leverage the terminology used in Canada

Terminology Gateway is a web based solution framework that enables the distribution and sharing of terminology concepts, subsets and concept maps, making them available for web browsing, download or real time query.

terminology gatewayBrowse Terminology Gateway Now

RESTful web services used to browse terminology data

Terminology Service RESTful APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertise in the details of terminology.

terminology gateway APITerminology Service API

Apelon’s TermWorks is an easy-to-use data mapping solution which is provided by request for free to individuals who have Standards Access. It brings powerful terminology capabilities directly to the desktop. TermWorks combines Microsoft® Excel® spreadsheet software with web services-based terminology processing to give organizations comprehensive mapping capability to SNOMED CT and the Canadian Edition of SNOMED CT.

 Education

  • Introduction to SNOMED CT (English)
  • Introduction to SNOMED CT (French)
  • This email address is being protected from spambots. You need JavaScript enabled to view it.

Web Conference

Please login to acquire access to the InfoCentral web conferencing.

Members

Seema Nayani
Canada Health Infoway
OFFLINE
Contact
Tasha Shaw-Verbic
Canada Health Infoway
ONLINE
Admin
Linda Monico
Canada Health Infoway
OFFLINE
Admin
Lindsay Yoo
Institute for Safe Medication Practices Canada
OFFLINE
Member
Jessica Ng
Central Community Care Access Center
OFFLINE
Member
Chandra Thomas
Alberta Health Services
OFFLINE
Member
Andrea Calvert
Toronto Central CCAC
OFFLINE
Member
Carolyn Dittmar
n/a
OFFLINE
Member
Samim Hasham
Morrish Pharmacy, Academia
OFFLINE
Member
Patti Madorin
Sunnybrook Health Sciences Centre
OFFLINE
Member
TRUPTI KULKARNI
ST.JOSEPH'S HEALTHCARE, HAMILTON
OFFLINE
Member
Karen Crone
Remedy Holdings Inc.
OFFLINE
Member
Christine Donaldson
Windsor Regional Hospital
OFFLINE
Member
Kimberly Ghaney
Eastern Health
OFFLINE
Member
Pierre-Olivier Hallé
RSVP Québec / CIUSSS Saguenay-Lac-St-Jean
OFFLINE
Member

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